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Home My WebLink AboutHomestead_Mounts FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79 / // SEE BACK FOR FILING INSTRUCTIONS / .�(We) JAMES 4 F !//ec/A//�9 dtE /DU,Jrs certify that on the 1st day of • March, 19_29_ I, (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: • I, (We) ❑ owned - ❑ are buying under contract - ❑ have a beneficial interest in the taxpayer - //J� Property Description in �asou _ County �//i7E £JE,e Township Taxing District (City, Town, Township): /inner-0J do,' Parcel Number - or legal description shown on tax statement: E._6ILC. /.2sA.24/ 121 If buying on contract: Owners name_ (fee simple owner) Contract recorded in Recorders Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: County Township hereby certify the above statement is true, correct and complete. - """A" k17"10" e . 4Jw 'Signature Street Address City rate and Zip Code ' Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - - FOR ASSESSOR'S USE ONLY - True Cash Assessed- Homestead Value Valuation Valuation Land not exceeding 1 (one) acre immediately surrounding residential improvements (1) '5/`o /4O /4 o Other Land F- i '' I E } (2) .2 3 0 ,a5 jfjfffjj Total Land CC��aa (3) ‘ 90 'e " • Residential Improvements I.iNY 1 1979- (4) ' % 'c B..Lo %.; . �: 0 Dwelling I�r •�, r 424:total roll (6) 30 =- -, toE .. •_..-. Other Improvements AUDITOR (7) — • 7 Improvements - Line (6) plus (7) equals (8) (8) T��° '- !%'�j�jj�j�jj�� `IW, certify the abo7' is true. correct. and complete. G $ ( fO Sign of Assessor Date r - ACTION BY AUDITOR - Approved: 49 • jT• /l - -c- `---N_ r _57 Date: /f/ . • MATE RAAM!)!MIIL/WI ThFASUEEA FORM 711A AP]MxEn BY STATE 11(1410 OF MmvTS._un PEI 1Bm BY NE OfPARnencF LOCAL ttova0.YMrsa FINANCE 1CH.1-_il Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than e'nr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore. ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the benefit and to provide additional identifying information necessary to allow county gm'emment to better monitor homestead filir .This information will be kept confidential and can only be accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create tools that will hap county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Mounts, James A/Virginia Sue 212 E3rd ST Hazleton IN 47640 55 James A/Virginia Sue Mounts 212 E 3rd ST State Parcel Number Lezal Description Hazleton IN 47640-8910 II III I III I III I II I 1131111111111 _ 26-02-59-033-000.239-019 014-00239-00 E ENLG 125/126/127 nu _ - iu titt titer urutit -- - - -- --- __ - - - - __ This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER INFORMATION Owner I First Middle Last ✓ i R f i nl I A Stec ill o ct '0 3 •Tg Address(number and street,city,state,and ZIP code) Same as property address a a c 3Ro ti 0;2_ tgt-o q7 (. y0 Spouse First Middle Last Dee acts a� Mailing Address(Number and street,city,state,and ZIP code) Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sore PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I ignative Date Spouse Signature Date Telephone ll ( ) PART 4:ADDITIONAL INFORMATION •